Individual provider · Type 1 NPI

Jeong Kim, NP

Adult Health Nurse Practitioner · Fort Worth, TX

NPI number 1750768107 Active

Practice location

1301 Pennsylvania Ave
Fort Worth, TX 76104-2122

Fax (817) 250-1815

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600XAP127743 (TX)
Primary Care Nurse Practitioner 363LP2300XAP127743 (TX)
Adult Health Nurse Practitioner Primary 363LA2200XAP127743 (TX)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1750768107

Jeong Kim, NP's National Provider Identifier is 1750768107, issued on May 5, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Fort Worth, TX. The record was last updated on Apr 2, 2019.